St Mark Village Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1522096 Issued in FL

Legal business name

ST MARK VILLAGE INC

Practice address

2655 Nebraska Ave
Palm Harbor, FL 34684

Phone

(727) 785-2577

Fax

(727) 786-6835

NPI assigned

Oct 3, 2006

Last updated

Jan 30, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia Pohl, MBA

Title

Chief Financial Officer

Phone

(727) 785-2577

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821182544. Details of each certification follow.

• CCN 105378 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 105378

Legal name

ST MARK VILLAGE INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Nov 24, 1980

Last certification

Jan 25, 2024

Beds

80

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 15, 1978 in FL

Enrollment address

2655 Nebraska Ave
Palm Harbor, FL 34684-2630

Nursing home name

ST MARK VILLAGE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• St Mark Village Inc

  dba Village Health and Rehabilitation

  • Physical Therapy Clinic/Center
  • Palm Harbor, FL
  • NPI 1033619846

  7618035304

  Same PAC ID

Listed as

St Mark VillageCCN 105378 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Nov 24, 1980

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8045.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Tax ID family

St Mark Village Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• St Mark Village Inc

  dba St Mark Village Home Health

  • Home Health Agency
  • Palm Harbor, FL
  • NPI 1083402945
  NPD tax ID
• St Mark Village Inc

  • Assisted Living Facility
  • Palm Harbor, FL
  • NPI 1588170229
  NPD tax ID
• St Mark Village Inc

  • Assisted Living Facility
  • Palm Harbor, FL
  • NPI 1699281337
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• St Mark Village Inc

  dba Village Health and Rehabilitation

  • Physical Therapy Clinic/Center
  • Palm Harbor, FL
  • NPI 1033619846

  Member Of

  NPD member

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• David Matthew Swenson, D.O.

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1437303617

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rohan Chawla, M.D.

  • Rheumatology Physician
  • Palm Harbor, FL
  • NPI 1437442183

  Nursing home

  Care Compare affiliation
• Christopher Ryan James, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Palm Harbor, FL
  • NPI 1790190700

  Nursing home

  Care Compare affiliation
• Scott L Ray, DO

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1730187782

  Nursing home

  Care Compare affiliation
• David Matthew Swenson, D.O.

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1437303617

  Nursing home

  Care Compare affiliation
• Anthony Roosevelt Washington III, M.D.

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1093002768

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1821182544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 NEBRASKA AVE",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-785-2577",
            "fax_number": "727-786-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NEBRASKA AVE",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-785-2577",
            "fax_number": "727-786-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARK VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "POHL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "727-785-2577",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1522096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031084100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caila St George, PTA
• St Mark Village Inc (Village Health and Rehabilitation)
• St Mark Village Inc (St Mark Village Home Health)
• St Mark Village Inc
• St Mark Village Inc
• St Marks Pharmacy LLC (St Marks Pharmacy)
• St Mary Florida Pediatric Care PLLC (St Mary Florida Pediatrics and Family Care)
• St Mary's Pediatric Care PLLC
• St. Felopateer Medical Consulting LLC (Prime M.D)
• St.Mary Pharmacy II

• Skilled Nursing Facility in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.